NEW SPOUSE OR PARTNER
Initial Application for Leisure Travel Facilities

All appropriate cards will be issued according to eligibility

* - Mandatory Field

Employee details

Title*

First Name*

Last Name*

NI Number*

Date of Birth*

Address 1*

Address 2

Town*

County

Postcode*

Home Phone

Mobile No

Email*

Spouse/Partner Details

Title*

First Name*

Last Name*

Spouse/Partner Relationship

Date of Birth*

Attachment Type

Does he/she already hold Rail Staff Travel facilities?

Other Attached Document Details

Provide Details

Attached Document

Notes On Documents to Attach
Applications in respect of a Common Law Spouse or Same-Sex Partner must be accompanied by a scan of a stamped and signed Partner Declaration - Form XX03 RST may require further supporting documentation to establish eligibility. Non-UK documents will usually require an official English language translation.

Declaration*

By checking this box:By submitting this form:

I confirm that all details provided are correct.
I apply for continued rail staff travel facilities for my dependant and have supplied any required evidence.
I understand that I am responsible for the correct use of my dependant's rail staff travel facilities and understand that such use is subject to the Conditions of Issue and Use which can be found at www.raildeliverygroup.com/rst/conditions-of-issue-and-use.
I further understand that Rail Staff Travel’s privacy information is available online at www.raildeliverygroup.com/rst/rst-privacy and that I have read it and have made my dependant aware of it.
If I am in any doubt about eligibility, I understand that I MUST check and that any attempt to obtain or use rail staff travel facilities fraudulently may result in disciplinary action and/or legal proceedings and/or permanent withdrawal of all rail staff travel facilities for myself and all of my dependants.

Signed by Employee:

Date:

Form - Add Partner - XX02a - This form is not valid for use after 31/03/2021

Once completed save the form with a filename of “YourLastname_Your Firstname_XX02a_ddmmyyyy” – where ddmmyyyy is the date that you send the form to RST). Then submit via email to rst@raildeliverygroup.com or your normal rail staff travel facilities contact point

NEW SPOUSE OR PARTNER Initial Application for Leisure Travel Facilities

Notes On Documents to Attach

NEW SPOUSE OR PARTNER
Initial Application for Leisure Travel Facilities